Pediatric feeding problems are highly prevalent in the general population and reportedly higher in populations of youth with disabilities. A variety of treatment approaches and settings have been explored yet challenges with generalization to home and community settings continue to be experienced. Telehealth enhanced interdisciplinary feeding services are one response to these challenges. This study described a model for outpatient feeding services serving clients with intellectual and developmental disabilities within a coordinated health care model through a telehealth enhanced clinic. Further a cost savings analysis demonstrated a savings in travel time and travel costs relevant to receiving services. Practical recommendations for practitioners who are interested in using telehealth enhanced services for pediatric feeding problems were discussed.